Epileptic seizures difficult to differentiate from alternating hemiplegia in infants: a case report.
A child with epileptic seizures had a clinical course similar to that of alternating hemiplegia of infancy (AHI). Tonic hemiplegia began at 2 months of age, and atonic alternating hemiplegia and tetraplegic attacks began at 2 years of age. Clinical findings were paroxysmal ocular movement abnormalities, choreoathetotic involuntary movements, and severe developmental retardation. An interictal EEG at 6 years of age showed multiple independent spike discharges. An ictal EEG showed diffuse irregular spike-wave and slow wave bursts following focal spikes. The present case suggests that a long-term extensive follow-up is necessary to differentiate epileptic seizures from AHI.
Shirasaka
Y
Y
Department of Pediatrics, Faculty of Medicine, Kyoto University, Japan.
Ito
M
M
Okuno
T
T
Mikawa
H
H
Yamori
Y
Y
D002648:Child; D003937:Diagnosis, Differential; D004569:Electroencephalography; D006429:Hemiplegia / Q000175:diagnosis*; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D012640:Seizures / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
D007457:Iodine Radioisotopes